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原发性自发性气胸发病机制及复发的进展分析

Analysis of the Pathogenesis of Primary Spontaneous Pneumothorax and the Progression of Recurrence
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摘要 原发性自发性气胸属于临床外科常见肺部疾病,患者多表现为胸痛及呼吸困难,少量患者无明显症状。在治疗方案的选择中,可根据患者的气胸范围考虑治疗方案,如范围较小时,采用保守治疗,范围较大时可行胸腔闭式引流术治疗和手术治疗。目前,临床报道中综合指出,在非特异性炎症、体型偏瘦、遗传等因素下肺大泡的形成率较高,而肺大泡在医学研究中被认为是引起原发性自发性气胸的重要危险因素。本文将原发性自发性气胸的病理症状及危险诱发因素进行结合,分析该疾病的发病机制,并从现阶段的治疗方式入手,探究其疾病复发原因及临床治疗进展。 Primary spontaneous pneumothorax(PSP)is a common pulmonary disease in clinical surgery.Most patients show chest pain and dyspnea,while a few patients have no obvious symptoms.The selection of treatment plan can be considered according to the pneumothorax range of patients:conservative treatment can be used when the range is small,and closed thoracic drainage can be used when the range is large.At present,clinical reports have comprehensively pointed out that the formation rate of pulmonary bullae is higher under the factors of nonspecific inflammation,lean body type and heredity,and pulmonary bullae is considered to be an important risk factor of PSP in medical research.In this paper,the pathological symptoms and risk factors of PSP were combined to reasonably analyze the pathogenesis of the disease and explore the cause of disease recurrence and clinical treatment progress from the current treatment methods.
作者 张强 ZHANG Qiang(Hangzhou Xiasha Hospital,Hangzhou,Zhejiang 310018,China)
机构地区 杭州市下沙医院
出处 《大医生》 2020年第2期105-107,共3页 Doctor
关键词 原发性自发性气胸 发病机制 复发率 治疗进展 primary spontaneous pneumothorax pathogenesis recurrence rate progress of treatment
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